Estudo do comportamento hemodinâmico, da troca gasosa, da mecânica respiratória e da análise do muco brônquico na aplicação de técnicas de remoção de secreção brônquica em pacientes sob ventilação mecânica

Abstract

Estudo do comportamento hemodinâmico, da troca gasosa, da mecânica respiratória e da análise do muco brônquico na aplicação de técnicas de remoção de secreção brônquica em pacientes sob ventilação mecânica

Efeitos da compressão torácica manual versus a manobra de PEEP-ZEEP na complacência do sistema respiratório e na oxigenação de pacientes submetidos à ventilação mecânica invasiva

“…The maneuver was then repeated three times. (9) In our study, for the intergroup analysis there was no statistically significant difference of TV between maneuvers, nevertheless, at intragoup analysis there was a statistically significant increase (p=0.002) in both techniques. In another study, using MRC for 10 minnutes, TV did not significantly change, however, patients were submitted to different ventilation modes.…”

“…(20) SpO 2 increased significantly after MRC, and did not exhibit the same behavior when carried out with PEEP-ZEEP. Likewise, Rodrigues (9) did not find significant change after application of PEEP-ZEEP in patients with bronchial hypersecretion. Rosa et al (20) carried out MRC for tem minutes and MH, disclosing a significantly increased SpO 2 (p=0.01) immediately after application of the technique, remaining above the base value for 120 minutes.…”

“…Regarding PEEP-ZEEP, although it is disseminated among Brazilian physiotherapists, it was found in few publications on standardization of the methods and influence on compliance of the respiratory and cardiovascular systems. (9,10) When using the open suction system, no loss of lung volume and hypoxemia were disclosed at the collection carried out after thirty minutes. Furthermore, prior to suctioning patients were hyperoxygenated at a hundred percent during thirty seconds.…”

“…Later, when PEEP is reduced to 0 cmH 2 O, the expiratory flow pattern is changed aiding transport of secretions from smaller airways to those more central. (9,10) Recent studies have not found a statistically significant difference when comparing MRC to isolated tracheal suction. These studies however, presented some limitations.…”

Gasometric parameters after tracheal aspiration in patients with septic shock: a clinical trial

“…Essa técnica possui a finalidade de manter as vias aéreas pérvias, prevenir infecções, promover trocas gasosas, incrementar a oxigenação arterial e melhorar a função pulmonar de pacientes entubados, traqueostomizados ou com rebaixamento do nível de consciência e que possuem o reflexo de tosse diminuído. Quando há acúmulo de secreção no trato respiratório, o enfermeiro deverá atuar de modo a remover e/ou facilitar a eliminação dessa secreção (2) . …”